摘要
目的:探讨肺平滑肌肉瘤的临床特点及预后,为临床早期诊断、治疗提供更全面的参考依据。方法:回顾性分析6例肺平滑肌肉瘤的临床资料并进行文献复习。结果:6例患者主要症状为咳嗽、咳痰、胸痛;胸片示肺野肿块影或团块影最常见;肺部CT检查常可发现肿块影,纵隔或肺门淋巴结肿大等改变,增强扫描呈不均匀强化;病理需结合免疫组化检查确诊;手术治疗5例,放疗1例。结论:肺平滑肌肉瘤发病率低,纤维支气管镜和经皮肺穿刺活组织检查可明确诊断,治疗以手术为主,同时应结合放疗、化疗等多学科综合治疗。
Objective ：To analyze the clinical feature and prognosis of 6 cases with pulmonary leiomyosarcoma combined with literature. Methods ： To analyze retrospective clinical data of 6 cases of pulmonary leiomyosarcoma and review of the litera- ture. Results ： The main symptoms were cough, sputum, chest pain in 6 patients, mass, mediastinal or hilar lymph node enlarge- ment and other changes was often found in CT scan of the lungs, enhanced scan showed inhomogeneous enhancement; pathology with immunohistochemistry diagnosis;operation treatment in 5 cases, 1 case used radiotherapy. Conclusion：The incidence of pulmonary leiomyosarcoma, fiberoptic bronchoscopy and percutaneous lung puncture biopsy can confirm the diagnosis, treatment based on operation, and combined with radiotherapy, chemotherapy and other comprehensive treatment.
出处
《临床医药实践》
2015年第10期739-741,共3页
Proceeding of Clinical Medicine
基金
山西省卫生计生委科研课题(课题编号:2014053)
关键词
肺平滑肌肉瘤
诊断
治疗
pulmonary leiomyosarcoma
diagnosis
treatment
